The United States Navy on the World Wide Web
A service of the Navy Office of Information, Washington DC
send feedback/questions to firstname.lastname@example.org
The United States Navy web site is found on the Internet at
http: //www. navy.mil
Navy and Marine Corps Medical News
September 29, 2000
Navy and Marine Corps Medical News (MEDNEWS) is a weekly
compendium of news and information contributed by commands
throughout the Navy medical department . Information contained
in MEDNEWS stories is not necessarily endorsed by Navy Bureau of
Medicine and Surgery (BUMED) , nor should it be considered
official Navy policy.
BUMED distributes MEDNEWS to Sailors and Marines, their
families, civilian employees and retired Navy and Marine Corps
families. Further distribution is highly encouraged.
Stories in MEDNEWS use these abbreviations after a Navy
medical professional 's name to show affiliation: MC — Medical
Corps (physician) ; DC - Dental Corps; NC - Nurse Corps; MSC -
Medical Service Corps (clinicians , researchers and
administrative managers) . Hospital Corpsmen (HM) and Dental
Technician (DT) designators are placed in front of their names.
Contents for this week's MEDNEWS:
— Corpsman saves a life 23, 000 feet in the air
— LIFELines 2000 "web—a—fies" health care access
— Pharmacy data system enhances beneficiary safety
— Natural Fire— 2000 in Kenya, Africa
— Anthrax question and answer
— TRICARE question and answer
— Healthwatch: What to do when bacteria fight back
Headline : Corpsman saves a life 23, 000 feet in the air
By: HMCS Dan DuBois, Medical Company, CSSG-3
KANEOHE, Hawaii - What began as a routine trip from Los
Angeles to Boston, turned into an unexpected venture for HM3
About one half hour after takeoff. Northwest flight 944 was
travelling 23, 000 feet over the Rocky Mountains when a flight
attendant requested that any medical personnel on board come to
the front to assist another passenger .
Tubbs, from Medical Company, CSSG-3, answered the call.
When he arrived at the front of the aircraft, he found a 69—
year-old man having chest pains and shortness of breath.
With supplies from the aircraft medical bag, Tubbs placed
the man on oxygen, a cardiac monitor and began a physical
The monitor showed the patient was in atrial fibrillation,
a potentially life threatening problem that causes a decrease of
The flight landed in Minneapolis , MN, so that the patient
could be transferred to the care of local paramedics.
"Tubbs was sharp and extremely compassionate, " said Dr.
Richard Deichert, a trauma emergency room physician at Loma
Linda University Hospital who assisted Tubbs on the flight. "He
had excellent clinical skills and was a great medic. "
Once again, the quick and capable response of one of Navy
Medicine's professionals made a difference in someone's life.
Headline: LIFELines 2000 "web—a—fies" health care access
By LIFELines public affairs
WASHINGTON - Cyberspace assistance is coming to naval
hospitals, medical service centers and service providers as fast
as the facilities can web— enable them.
From Bremerton to Rota, medical and dental services that
Sailors and their families used to stand in line for are now
being offered online at naval medical facility web sites. And
LIFELines2000 , the Navy and Marine Corps multi-media service
delivery network, is bringing them together in one place.
Pharmacy refills previously available in— person or at best,
by the phone, are now available online at Naval Hospital
Okinawa, Japan, at www.oki.med.navy.mil/phar.refills.htm. This
facility serves as the major referral center for more than
196,000 beneficiaries in the Western Pacific.
Naval Hospital Rota, Spain, is taking the first steps in
online medical appointments with an initial offering of Well
Baby visits at rota— mm .med.navy.mil. Mothers wishing an
appointment need only fill out an online form and the next
available appointment will be scheduled with the family's
primary care manager. Appointments are based on the best pre-
selected times for the patient. Notices are delivered by e-mail.
At Naval Hospital Bremerton, a unique service has come
online that is sure to warm the hearts of deployed parents,
distant grandparents and relatives. It's called Web Babies.
Pictures of the newborn and family are produced within hours
after the birth and placed on the Bremerton Hospital web site at
nh_bremerton.med.navy.mil with the information on the name,
gender, weight, length, and time of birth.
Not to be outdone, TRICARE Central is now providing online
enrollment in TRICARE Prime or TRICARE Prime Remote. If you live
in the TRICARE Central service area you are eligible to sign-up.
Enroll at www.triwest.com. Of course you must be registered in
the Defense Enrollment Eligibility Reporting System (DEERS) .
You may check out all these cyber-services at one
www. Iifelines2000.org/services/health/default . asp.
If your medical /dental facilities are offering services
online, contact LIFELines at
www.lifelines2000.org/about/ideas.asp and they will be added to
the official Navy quality of life services network.
Those interested in more details about LIFELines2000 should
contact Capt . Bill Hendrix via e-mail at
email@example.com or Dr. Rudy Brewington at
brewington . rudolphQhq. navy .mil .
Headline: Pharmacy data system enhances beneficiary safety
From Humana Military Healthcare Services
LOUISVILLE, Ky. - The Department of Defense 's new Pharmacy
Data Transaction Service (PDTS) has been successfully
implemented and for thousands of beneficiaries it will increase
safety when prescription drugs are dispensed at different
military facilities .
The PDTS is intended to serve as an integrated record of
all pharmacy services received by TRICARE beneficiaries,
regardless of the source of those services.
Previously, DoD beneficiaries had their prescription filled
either by the MTF's, TRICARE contract civilian retail
pharmacies , or the National Mail Order Pharmacy . Each of these
programs maintained a separate prescription profile of each
But with PDTS, each prescription will be edited against a
beneficiary's total pharmaceutical history before it is filled,
regardless of which pharmacy is chosen. The integration will
identify potentially harmful drug interactions , duplicate
treatments and check for refills that are requested too soon.
The system will also allow for drug utilization review edits of
all pharmacy claims within the MHS.
Headline: Natural fire— 2000 in Kenya, Africa
From Naval Hospital Camp Pendleton
CAMP PENDLETON, Ca . -In an effort to focus on humanitarian
assistance and disaster relief training for the coalition armed
forces of Kenya, Uganda, Tanzania and the United States, the
First Medical Battalion, First FSSG, Camp Pendleton, created a
medical detachment for Brigade Service Support Group-1 in
support of Natural Fire-00.
"With a medical detachment of 26 personnel, the make— up was
quite basic, but the end results were phenomenal, " said
Detachment Commander Ensign Steven Bailey, MSC. "Most
importantly, our coalition support from Kenya, Tanzania, and
Uganda mirrored our medical detachment . Without them we would
have been able to do only minimal medical and dental treatment
for the host nations because of the language barrier. "
The six remote sites that were visited each day during the
14-day exercise gave all medical providers the opportunity to
diagnose and treat illnesses such as Malaria, Dengue and
"The basic medical awareness training will have the most
lasting effect on the villages because the training will be
passed from generation to generation, " said Bailey. "The
medications will run out and illnesses may return, but the
training will continue . "
Headline: Anthrax Question and Answer
Question: Is there a requirement for long-term follow— up
after the anthrax vaccine is administered?
Answer: No. Just like other FDA— licensed products, the
anthrax vaccine does not require follow-up monitoring of healthy
vaccine recipients. Nonetheless, the DoD has already conducted
such studies and is conducting more. No data collected to date
shows any patterns of adverse events developing years after
people have been vaccinated with anthrax vaccine or any other
Headline: TRICARE Question and Answer
Question: Does TRICARE Prime cover long-term care?
Answer: Prime will cover long-term health care to the
extent that CHAMPUS does today, that is, noncustodial, skilled
care. Please discuss specific care requirements with your local
Health Benefits Advisor.
Headline: Healthwatch: What to do when bacteria fight back
By Edward Moldenhauer, Robert E. Bush Naval Hospital
TWENTYNINE PALMS, Ca . -As we enter the 21st century, the
impending improvements in medicine are mind-boggling. However,
one of the most troubling aspects of these advances is that many
of our previously treatable bacterial infections may no longer
respond to antibiotic therapy. Bacteria are starting to fight
The prevalence of antibiotic— resistant bacteria is on the
upswing. The Centers for Disease Control reports that
vancomycin-resistant enterococci (VRE) infections rose from 0.3
percent in 1989 to 17.3 percent in 1998. Another report
demonstrated that our usually susceptible Escherichia coli (E.
coli) infections might show a 22 percent resistance to
ampicillin and 23 percent resistance to
sulfamethoxazole/trimethoprim (Bactrim/Septra) .
The net result of these studies indicates that the use and
misuse of antibiotics are major factors in this public health
threat. In the future, patients may be exposed to bacterial
infections that are untreatable.
So what can we do about it? As members of the Navy
Healthcare Team, we have several responsibilities to our
Decrease the unnecessary use of antibiotics. Not every
cough, cold or runny nose requires the use of an antibiotic .
Stand firm with a patient who demands an antibiotic. Perhaps all
the patient needs is medication such as acetaminophen (Tylenol) ,
pseudoephedrine (Sudafed) or diphenhydramine (Bendryl) to help
reduce the symptoms.
Correct choice and dose of antibiotic therapy. Select the
optimal antibiotic and dose it appropriately. The recommended
doses are just that - recommendations.
CounsBl patients concerning completion of therapy. It is
important that every member of the healthcare team reinforce the
importance of antibiotic therapy completion. Even when a
child's ear ache begins to feel better in three to five days, it
is important for the treatment to continue.
If both patients and healthcare providers are aware that
antibiotic resistance is a major public health threat, perhaps
we can minimize its further development. All that is required is
a simple reminder to finish all of this medication or a
telephone call at the five— day mark to remind and reinforce
We, as medical providers, are the best hope for minimizing
this threat to our health.
Comments about and ideas for MEDNEWS are welcome . Story
submissions are highly encouraged. Contact MEDNEWS editor,
at email: firstname.lastname@example.org; telephone 202—762—3218,
(DSN) 762, or fax 202-762-3224.